Individual
KARA KRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
537 W MAIN ST, IONIA, MI 48846-1652
(877) 338-9797
Mailing address
11906 EDEN TRL, EAGLE, MI 48822-9621
(517) 526-5570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005724
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2023
Last updated
08/14/2023
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